Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Paul Keifenheim, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1205903705

Gary Paul Keifenheim, MSW, LICSW is a Clinical Social Worker in Brooklyn Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6900 78th Ave N
Brooklyn Park, MN 55445-2719
Phone: (763) 560-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW06601 (MN)

Record details

NPI number1205903705
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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